Provider Demographics
NPI:1154575744
Name:WALKER, PAUL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 OLD BIRMINGHAM HWY APT 1604
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404-4664
Mailing Address - Country:US
Mailing Address - Phone:205-507-0300
Mailing Address - Fax:
Practice Address - Street 1:5100 OLD BIRMINGHAM HWY APT 1604
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404-4664
Practice Address - Country:US
Practice Address - Phone:205-507-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-09
Last Update Date:2008-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL147631835P0018X
IL0512883561835P0018X
MO20080123981835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist